Therapy » Achievement of control in patients with bronchial asthma and obesity: Possibilities of bariatric surgery

Achievement of control in patients with bronchial asthma and obesity: Possibilities of bariatric surgery

DOI: https://dx.doi.org/10.18565/therapy.2024.6.84-96

Karoli N.A.
V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia

Abstract. In last years, the problem of difficult-to-control bronchial asthma (BA) is becoming to be increasingly urgent. One of the factors leading to its poor control is obesity (OB). Bariatric surgery is a promising intervention for weight loss and long-term control of OB-related comorbidities, including BA. The aim of the review is to summarize the results reflecting the influence of bariatric surgery at the ability of achieving BA control in OB patients. Available data confirm the efficacy of bariatric methods in the treatment of patients with morbid obesity and bronchial asthma. Most studies show improvement in asthma clinical course, decreaing of the number of ofexacerbations, asthma-related hospitalizations, and also the volume of therapy performed after bariatric surgery. Cases of patients completely refusing anti-asthma therapy after surgery are described. However, a significant part of the considered studies involved a small number of patients. The severity of BA (or bronchial asthma was initially mild and controlled) was not pointed out and study endpoints were not always clearly defined.

Keywords: bronchial asthma control, bariatric surgery, bronchial asthma, obesity

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About the Autors

Nina A. Karoli, MD, Dr. Sci. (Medicine), professor of the Department of hospital therapy of the Faculty of general medicine, V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia. Address: 410012, Saratov, 112 Bol’shaya Kazachya St.
E-mail: nina.karoli.73@gmail.com
ORCID: https://orcid.org/0000-0002-7464-826X

Achievement of control in patients with bronchial asthma and obesity: Possibilities of bariatric surgery

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